A nurse is educating the community on recognizing the signs of a stroke using the BEFAST mnemonic. During the session, attendees ask what each letter in BEFAST represents and how it applies to stroke assessment. Which components are correctly included in the BEFAST mnemonic for stroke recognition? (Select all that apply)
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A nurse is counseling a 45-year-old patient with newly diagn…
A nurse is counseling a 45-year-old patient with newly diagnosed type 2 diabetes during a follow-up visit. The patient expresses interest in managing their blood sugar through dietary changes but feels overwhelmed by conflicting advice online. The nurse educates the patient about incorporating low-glycemic index (GI) foods into their diet. Which statement by the patient indicates an understanding of the dietary recommendations?
A nurse is assisting a 68-year-old patient with limited mobi…
A nurse is assisting a 68-year-old patient with limited mobility to transfer from a wheelchair to a bed. The patient has moderate left-sided weakness following a recent stroke. The nurse demonstrates the proper technique for a safe transfer. Which step is most essential for ensuring patient safety during the transfer?
A 25-year-old female patient presents to the clinic with dys…
A 25-year-old female patient presents to the clinic with dysuria, urinary frequency, and lower abdominal discomfort. The healthcare provider orders a clean-catch midstream urine sample for a urinalysis to confirm a suspected urinary tract infection (UTI). The nurse provides the patient with instructions on the clean-catch procedure. Which statement by the patient indicates proper understanding of the procedure?
A 58-year-old patient with a history of peptic ulcer disease…
A 58-year-old patient with a history of peptic ulcer disease (PUD) presents to the emergency department with sudden-onset severe abdominal pain that radiates to the back. The patient is pale, diaphoretic, and reports nausea and vomiting. Vital signs show blood pressure 88/56 mmHg, heart rate 122 bpm, and respiratory rate 26 breaths per minute. Which complication of peptic ulcer disease is the most likely cause of this presentation?
A nurse is performing a wet-to-dry dressing change on a 60-y…
A nurse is performing a wet-to-dry dressing change on a 60-year-old patient with a deep, infected wound on the lower abdomen. The patient expresses concern about the pain during dressing removal and asks why this technique is being used instead of other options. What is the primary purpose of using a wet-to-dry dressing for this patient?
A 40-year-old female patient with a family history of breast…
A 40-year-old female patient with a family history of breast cancer (her mother was diagnosed at age 45) visits the clinic for her annual check-up. She asks the nurse when she should begin mammogram screenings. What is the most appropriate recommendation for this patient based on her family history?
A nurse is caring for a 32-year-old patient with a T6 spinal…
A nurse is caring for a 32-year-old patient with a T6 spinal cord injury who suddenly develops severe headache, flushing above the injury level, nasal congestion, and a blood pressure of 190/110 mmHg. The patient reports feeling anxious. The nurse suspects autonomic dysreflexia. What is the priority nursing intervention in this situation?
A nurse is monitoring a 70-year-old patient on telemetry who…
A nurse is monitoring a 70-year-old patient on telemetry who was admitted for syncope and hypotension. The ECG reveals a third-degree atrioventricular (AV) block with a ventricular rate of 28 beats per minute. The patient is diaphoretic and reports severe dizziness. The healthcare provider is unavailable for immediate consultation. What is the most appropriate immediate action by the nurse?
A 62-year-old postoperative patient complains of abdominal d…
A 62-year-old postoperative patient complains of abdominal discomfort and bloating on the second day after abdominal surgery. The nurse notes absent bowel sounds, and the patient has not passed flatus or had a bowel movement since surgery. The patient reports mild nausea but no vomiting. The healthcare provider diagnoses paralytic ileus. What is the priority nursing intervention for managing this patient?